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Ju1-23-2001 'G�52am From-C;TY OF ORONG +9522494618 T-d60 P.002l002 F-036 <br /> T�tal Fe�: $ DaEe Recei,v�ed_��/� � i oi <br /> Ea�tered By: �. Permii#: _ � ��� �/�/� _ <br /> C�TY UF ORONO - $UIr,17L'�;G PER�rT APP�.,�CATIQN <br /> �� � ' <br /> �, All xnfor�atian must be submitted in ful! beFore plan ae�v�iew wil;l be started. <br /> ��'� � . (please pritta all informationl . �i <br /> � C�''� 7'�TE APPLTCANT IS-------(cir�le one)---ORfi7�R Ot� CONTR�,C"FOR-------------------- - <br /> � <br /> so� s�T� �.n��ss: �y`� ���.A►N t ,�v� �r�• �.�5 3��l <br /> CjIZ c�'�iC`� ;v� . <br /> �,��-i2 �Z�:�i� �-�'I I� 1 e SS <br /> N�'v� OF (3'�'Vh�R: G i Y� �:r C(zc:ti c:� �P�OvE: (home) .-- <br /> (work) �i��_Z a Z_�1 `'t - `/�.2�c, <br /> 11�I�T..TIVG A.DD�SS: L.7�c I'�cLL� l'�:�,i 7 CIfiY: C.�K-c ti�' Z11�: r�;�-; <,`��, <br /> CON'TR.�.CT4R: :.�t.S��-�1v `L PHON�: � �.SZ> `'(�� � �Z t``j <br /> CO�I'I"AC'I'PE�tSON: ��� 15 ��1-��,�,�...�1IUB�LE%P�i�ER:--Ga 12 — �� l_ �'� 7 I <br /> NIA'�.Y'i�1G.�?}'JRESS: `�1`�(73 �'"���.L��„ �'!t w �t�l'�"Y:��l�i�;�� �'�A I�' Z�':..._..���3`i`-I <br /> STATE X..TCENSE: #f NoT _lZ.�c��,/zc,� �o. <br /> A�2Ch'ITECT/ENGTi�'EE�; � c'.� �C-1 !'�; �-- __PHONE: `���?- `` C� - `-1 Z i`�l <br /> A'I�TL.L�'G r++�DT3�ESS:� �19 7:Z�(A�te� v��� iti�)CITY: �:�.i)t.�'�; i��„Ie�Z �`/ <br /> �'��• t�,�r'� ��r��'►� Rk:G�S'�'12ATTO�T� IZyL� • <br /> �N��i�ctfC G.��' �`� HC� _ a_:1�,.���JC. Gc,li'�vLTI^)C C�jLCv�' '� IVC�i] <br /> TYpE bF �'VORK: New A�dition �� Access�ry SQucture <br /> Move Remodel/Alteration Land Alteration <br /> � <br /> 3' c. � - <br /> PROPOSED�VO� (describe in d�tai�: �,;,,,,��,,;; �v�.�, a�� �rv;E:.�,�as -r� <br /> �-t G� �A N'' <br /> �` <br /> SxOJ�t�ES: � S"t�1.FEET OF EACH�'Y.�nR: � Z? 1 '��-_� r� _ <br /> NO. QF B�DI7QC?vIS: _� GARAGE S�'ALPLS: ATT�. � ]DET. ----« ,�.._. . .._ <br /> ES� .XI�ATEU CQi�'ST�2�C1C'T�DY VALUATYO:! (excluding land}: � �- �, z c- <br /> I hereby appty for a buildi.ng perrnit and I ac�towledoe that the informati�n ab4ve is co�xzplet�tu:d <br /> accurate; tha� the work will be in ccnfa•rnance wirh the ordinances and codes of the City and with <br /> tt�,e State Buildino Cade; tr,at I understaud thi.s is not a per�ait z.�,d work is not to start witaout a <br /> �errni:; �nd that tre wo:k w�� be ir� dance wi e approved plazt. <br /> AP�LiCANT`S SIG�'A'�'L7:i�: ��- f.�' 17ATE: 7- Z 3 _ � � -- <br /> --��'.i��1a A1� i3�h iz.� i..i :v c t <br /> NOT`E! rade .l�omes eypnts require separate permit ap�ravat hy �PoTice�Uepgrtment ar.d <br /> Cin� Council 60 days prinr fa the event. Non permitted events will n�t bs allowed. <br />